EP2571452B1 - Dispositif chirurgical d'attache équipé de moyen de retenue de tulle - Google Patents

Dispositif chirurgical d'attache équipé de moyen de retenue de tulle Download PDF

Info

Publication number
EP2571452B1
EP2571452B1 EP11727801.0A EP11727801A EP2571452B1 EP 2571452 B1 EP2571452 B1 EP 2571452B1 EP 11727801 A EP11727801 A EP 11727801A EP 2571452 B1 EP2571452 B1 EP 2571452B1
Authority
EP
European Patent Office
Prior art keywords
shaft
mesh
distal end
surgical
lateral surface
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Not-in-force
Application number
EP11727801.0A
Other languages
German (de)
English (en)
Other versions
EP2571452A1 (fr
Inventor
Eitan Hod
David Bleicher
Boaz Manash
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
I B I Israel Biomedical Innovations Ltd
Original Assignee
I B I Israel Biomedical Innovations Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by I B I Israel Biomedical Innovations Ltd filed Critical I B I Israel Biomedical Innovations Ltd
Publication of EP2571452A1 publication Critical patent/EP2571452A1/fr
Application granted granted Critical
Publication of EP2571452B1 publication Critical patent/EP2571452B1/fr
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00805—Treatment of female stress urinary incontinence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A61F2002/0072—Delivery tools therefor

Definitions

  • This invention relates to surgical devices, and more particularly to such devices for surgical fastening or suturing.
  • Surgical mesh material has several uses in surgery, such as positioning and immobilizing body organs or to support a body organ.
  • the mesh is attached to body tissues at two or more locations by suturing or using surgical fasteners.
  • a polypropylene mesh is fastened to the abdominal wall in order to reinforce the abdominal wall. Insertion of mesh has also been used in the treatment of uterine prolapse, hernia, and urinary incontinence.
  • suturing devices as well as fastening devices are available for endoscopic or open procedures, to attach a strip or patch of mesh to a tissue.
  • Many of these devices have a handle portion from which slender shaft extends that can be introduced into a body cavity with a small incision.
  • At the distal end of the shaft are means for suturing or deploying a surgical fastener in a body tissue surface inside the cavity.
  • the shaft stores one or more surgical fasteners.
  • An actuating mechanism contained in the handle portion ejects one or more fasteners from the distal end of the shaft.
  • a fastening device may be used having an anvil that deforms the prongs of fastener after having passed through the body tissue.
  • a fastening device not having an anvil is used.
  • a fastener is screwed into the tissue.
  • a fastener is used having a crown from which extend two or more prongs. The prong tips are retained in a baseplate. The fastener is deployed using a fastening device that moves the crown towards the baseplate. As the crown approaches the baseplate, the prongs splay radially outward as they penetrate the tissue.
  • the surgeon manipulates the mesh into the desired position in the body using one hand, and then operates the suturing or fastening device with the other hand in order to affix the mesh to tissue surfaces. Manipulating the mesh and the fastening device in this way can be awkward.
  • fastening devices are known in which a piece of mesh is retained on the tip of the shaft so that as a fastener is deployed the prongs pass through the mesh before entering the tissue.
  • WO2009/022348 discloses providing the distal end of the shaft with one or more projections configured to engage a surgical mesh material and retain the mesh over the tip of the shaft.
  • a piece of a surgical mesh material is engaged onto the projections at a first region of the mesh material.
  • the distal end of the shaft with the surgical mesh material engaged on its tip is then delivered to a first location on a tissue surface.
  • the actuating mechanism of the device is then actuated to eject a fastener from the distal end of the shaft into the tissue at the first location. As the fastener is ejected from the distal end of the shaft, the prongs of the fastener pass through the mesh so as to pin the mesh to the tissue at the first location.
  • Document D1 ( WO 9530374 A1 ) which forms the basis of the preamble of claim1, discloses (see Fig. 1 ) A surgical fastening or suturing device comprising a shaft with hooks on the lateral surface configured to attach a surgical mesh on lateral surface of the shaft and around the distal end.
  • the present invention provides a surgical fastening or suturing device for attaching a piece of mesh to a tissue surface.
  • the device of the invention has a slender shaft extending from a handle portion.
  • the handle portion includes an actuating mechanism whose activation results in suturing or fastening at the distal end of the shaft.
  • the fastening device is provided with attachment means for attaching a piece of mesh to one or more locations on the external lateral surface of the shaft.
  • a piece of mesh is mounted on the attachment means with the mesh covering the shaft tip. The shaft tip is then applied to a body tissue surface and the actuating mechanism is activated.
  • the deployed fastener passes through the mesh before becoming embedded in the body tissue, pinning the mesh to the tissue surface.
  • the mesh becomes sutured to the tissue surface. Either during or after deployment of the fastener or the suturing, the mesh is released from the attachment means.
  • the device is provided with releasing means for releasing of the mesh from the attachment means.
  • the releasing means is activated by the actuating mechanism in order to release the mesh from the lateral surface of the shaft just before it is affixed to the tissue.
  • the attachment means comprises two or more hooks that extend radially outward from the lateral surface of the shaft.
  • a releasing mechanism may be provided which automatically retracts the hooks into the interior of the shaft just before the mesh is affixed to the tissue surface.
  • the surgical device of the invention may be used with any type of deployment mechanism.
  • the invention thus provides a surgical fastening or suturing device comprising:
  • the device of the invention may further comprise a releasing mechanism releasing the mesh from the lateral surface of the shaft.
  • the releasing mechanism may release the mesh prior to or during ejecting a fastener or prior to suturing.
  • the releasing mechanism may release the mesh after ejecting a fastener or after suturing.
  • the actuating mechanism may activate the releasing mechanism.
  • the attachment arrangement may comprise one or more hooks on the lateral surface of the shaft.
  • the releasing mechanism may retract the hooks into an interior of the shaft.
  • the device of the invention may further comprise one or more protrusions extending distally from the distal end of the shaft.
  • Fig. 1 shows a device 2 for deploying one or more surgical fasteners in accordance with one embodiment of the invention.
  • the device 2 has a handle portion 4 containing an actuating mechanism including an actuating lever 6.
  • a hollow slender shaft 8 extends from the handle portion 4 and stores one or more surgical fasteners.
  • the shaft 8 has a proximal end 10 attached to the handle portion 4 and a distal end 12. Depressing the actuating lever 6 causes a surgical fastener inside the shaft 8 (not seen in Fig.1 ) to be ejected from the distal end 12 of the shaft.
  • the device 2 is provided with attachment means for attaching a piece of mesh to the distal end of the shaft.
  • the attachment means includes two or more knobs 14 extending radially outward from the external lateral surface of the shaft near the distal end of the shaft.
  • the knobs may terminate in a bulb 15 that is separated from the shaft surface by a stem 17.
  • This arrangement allows the knobs to retain a piece of mesh 16 on the shaft, with the mesh covering the distal end of the shaft 12.
  • the distal end 12 of the shaft may be provided with distally facing projections 18 that are designed to retain the mesh 16 at the distal end of the shaft and thus prevent the mesh from slipping off the tip.
  • a fastener not shown in Fig.
  • the mesh 16 is ejected from the distal end of the shaft, prongs of the fastener pass through the mesh 16 before becoming embedded in a body tissue to pin the mesh to the body tissue. After pinning the mesh to the body tissue, the mesh can be released from the knobs 14.
  • Fig. 4a shows the distal end of a shaft 77 of a surgical fastening device 60 in accordance with another embodiment of the invention.
  • the fastening device 60 has several features in common with the device 2 shown in Fig. 1 , and common elements are indicated by the same reference numeral in both embodiments, without further comment.
  • the device 60 has a wire 62 that is initially "V" shaped having a vertex 64 and two arms 66. As shown in Fig. 4a , the arms 66 lie in channels 67 in the interior of the shaft 77 and extend through a pair of diametrically opposed apertures 68 in the wall of the shaft 77. When extending through the apertures 68 , as shown in Fig.
  • the arms serve to attach a piece of mesh 71 to the lateral surface of the shaft, as explained below.
  • the vertex 64 is immobilized in a groove 70 in an actuating rod 72 of the actuating mechanism of the device 60. Displacement of the actuating rod towards the distal end of the shaft ( Fig. 4b ) causes a surgical fastener (not shown) to be ejected from the distal end of the shaft and simultaneously displaces the vertex distally inside the shaft.
  • the arms 66 are retracted through the apertures 68 into the interior of the shaft to release the mesh from the lateral surface of the shaft just prior to ejection of the fastener.
  • Fig. 2a shows the distal end of the shaft 28 of a device 20 for deploying one or more surgical fasteners in accordance with another embodiment of the invention.
  • the device 20 has an actuating mechanism not shown in Fig. 2a for ejecting a surgical fastener from the distal end 32 of the shaft as explained above with reference to the device 2 shown in Fig. 1 .
  • the device 20 is provided with attachment means for attaching a piece of mesh 44 to the distal end of the shaft.
  • the attachment means includes a clip 30.
  • the clip 30 has a partial cylindrical surface 34 attached to a curved handle 36. After positioning a piece of mesh 44 around the distal end 32 of the shaft 28 , as shown in Fig. 2a , the clip is made to snap onto the shaft 28 over the mesh as shown in Fig. 2b .
  • the distal end 32 of the shaft 28 may be provided with distally facing projections 42 that are designed to grasp the mesh 44 at the distal end of the shaft.
  • a fastener not shown in Fig.
  • the clip 34 can be removed from the shaft by depressing the curved handle 36 towards the shaft, or by pulling the handle away from the shaft, to release the mesh from around the shaft.
  • a knob 38 on the handle 36 may serve as a pivot for rotation of the clip 30 or as a stopper preventing inadvertent release of the clip.
  • the clip is removed by means of a cord, instead of the handle 36, extending from the cylindrical surface 34 to the actuating mechanism.
  • Fig. 5 shows the distal end of a shaft 80 of a surgical fastening device in accordance with yet another embodiment of the invention.
  • the fastening device 80 has several features in common with the device 2 shown in Fig. 1 , and common elements are indicated by the same reference numeral in both embodiments, without further comment.
  • the device 80 is provided with a sleeve 82 that is dimensioned to slide over the shaft 80 after mounting a piece of mesh 84 around the distal end of the shaft 18.
  • the sleeve is removed from the shaft by tearing the shaft by pulling on a cord 89 attached to a tab 90 on the sleeve and extending from the sleeve to the proximal end of the device 80. Tearing of the sleeve is facilitated by two longitudinal rows of preformed perforations 88 in the sleeve.
  • Fig. 3 shows schematically a surgical procedure using the device 60 of Fig. 4 .
  • a piece of mesh 71 is mounted on the prongs 18 and on the arms 66 of the "V" shaped wire 62
  • the distal end of the shaft 28 with the mounted mesh 71 is applied to a tissue surface 73 to which the mesh is to be affixed ( Fig.3b ).
  • the actuating mechanism is then activated. This causes the arms 66 to be retracted into the shaft, as explained above, and thus release of the mesh 71 from the lateral surface of the shaft ( Fig. 3c ).
  • a surgical fastener 75 is ejected from the distal end of the shaft to pin the mesh to the tissue surface ( Fig. 3d ).
  • the prongs 18 can then be disengaged from the mesh. The procedure may be repeated as required to fasten the mesh to tissue surfaces with as many fasteners as is desired.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)

Claims (7)

  1. Dispositif chirurgical d'attache ou de suture (60) comprenant :
    (a) une tige effilée (77) ayant une extrémité proximale (10), une extrémité distale (12), et une surface latérale ;
    (b) un ensemble d'attache configuré pour attacher un morceau de matériau en filet chirurgical (71) sur une surface latérale externe de la tige et autour de l'extrémité distale de la tige, ledit ensemble d'attache comprenant au moins un crochet ou un bras (66) ;
    caractérisé par le fait que l'au moins un crochet ou bras sont sur la surface latérale de la tige, ledit au moins un crochet ou bras étant rétracté dans la tige afin de libérer le filet chirurgical de la surface latérale de la tige ; et
    (c) un mécanisme d'actionnement configuré pour éjecter une attache chirurgicale (75) depuis d'extrémité distale de la tige ou configuré pour effectuer une suture au niveau de l'extrémité distale de la tige.
  2. Dispositif chirurgical d'attache selon la revendication 1,
    dans lequel ledit ensemble d'attache comprend deux desdits bras (66), dans lequel lesdits deux bras sont fournis par les bras d'un fil (62) initialement en forme de V ayant un sommet (64).
  3. Dispositif chirurgical d'attache selon la revendication 2,
    dans lequel lesdits bras (66) sont situés dans les canaux (67) dans ledit intérieur et s'étendent à travers des ouvertures (68) diamétralement opposées dans la paroi de la tige (77).
  4. Dispositif chirurgical d'attache selon la revendication 3,
    dans lequel ledit sommet (64) est immobilisé dans une rainure (70) dans une tige de commande (72) du mécanisme d'actionnement, et dans lequel le déplacement de la tige de commande vers ladite extrémité distale entraîne l'éjection d'une attache chirurgicale depuis ladite extrémité distale et déplace le sommet distalement à l'intérieur de la tige.
  5. Dispositif chirurgical d'attache selon la revendication 4, dans lequel ledit sommet (64) se déplace distalement, lesdits bras (66) sont rétractés à travers lesdites ouvertures (68) dans ledit intérieur pour libérer le filet (71) de ladite surface latérale.
  6. Dispositif chirurgical d'attache selon la revendication 5, dans lequel ledit dispositif fonctionne pour libérer le filet (71) de ladite surface latérale juste avant l'éjection de l'attache chirurgicale.
  7. Dispositif selon l'une quelconque des revendications précédentes, comprenant en outre une ou plusieurs saillies s'étendant distalement depuis l'extrémité distale de la tige.
EP11727801.0A 2010-05-17 2011-05-17 Dispositif chirurgical d'attache équipé de moyen de retenue de tulle Not-in-force EP2571452B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US34533510P 2010-05-17 2010-05-17
PCT/IL2011/000388 WO2011145091A1 (fr) 2010-05-17 2011-05-17 Dispositif chirurgical d'attache équipé de moyen de retenue de tulle

Publications (2)

Publication Number Publication Date
EP2571452A1 EP2571452A1 (fr) 2013-03-27
EP2571452B1 true EP2571452B1 (fr) 2015-09-09

Family

ID=44627502

Family Applications (1)

Application Number Title Priority Date Filing Date
EP11727801.0A Not-in-force EP2571452B1 (fr) 2010-05-17 2011-05-17 Dispositif chirurgical d'attache équipé de moyen de retenue de tulle

Country Status (4)

Country Link
US (2) US8951268B2 (fr)
EP (1) EP2571452B1 (fr)
JP (1) JP5755728B2 (fr)
WO (1) WO2011145091A1 (fr)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015157459A1 (fr) 2014-04-08 2015-10-15 Acuitybio Corporation Système de délivrance pour positionner et apposer une maille chirurgicale ou un renfort chirurgical recouvrant une marge chirurgicale
US10537743B2 (en) * 2016-02-24 2020-01-21 Cochlear Limited Implant infection control
USD944985S1 (en) 2019-12-19 2022-03-01 Covidien Lp Positioning guide cuff
US11197675B2 (en) 2019-12-19 2021-12-14 Covidien Lp Positioning guide for surgical instruments and surgical instrument systems
USD944984S1 (en) 2019-12-19 2022-03-01 Covidien Lp Tubular positioning guide

Family Cites Families (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5478353A (en) * 1987-05-14 1995-12-26 Yoon; Inbae Suture tie device system and method for suturing anatomical tissue proximate an opening
US5207679A (en) * 1991-09-26 1993-05-04 Mitek Surgical Products, Inc. Suture anchor and installation tool
FR2685208B1 (fr) * 1991-12-23 1998-02-27 Ela Medical Sa Dispositif de canulation ventriculaire.
CA2090000A1 (fr) 1992-02-24 1993-08-25 H. Jonathan Tovey Dispositif articule servant a positionner des implants chirurgicaux
US5354292A (en) * 1993-03-02 1994-10-11 Braeuer Harry L Surgical mesh introduce with bone screw applicator for the repair of an inguinal hernia
US5397332A (en) 1993-09-02 1995-03-14 Ethicon, Inc. Surgical mesh applicator
WO1995030374A1 (fr) * 1994-05-06 1995-11-16 Origin Medsystems, Inc. Appareil et procede pour positionner une piece
US5425740A (en) 1994-05-17 1995-06-20 Hutchinson, Jr.; William B. Endoscopic hernia repair clip and method
US5843127A (en) * 1994-08-22 1998-12-01 Le Medical Technologies, Inc. Fixation device and method for installing same
US5522845A (en) * 1994-09-27 1996-06-04 Mitek Surgical Products, Inc. Bone anchor and bone anchor installation
US5643321A (en) * 1994-11-10 1997-07-01 Innovasive Devices Suture anchor assembly and methods
US5814071A (en) * 1994-11-10 1998-09-29 Innovasive Devices, Inc. Suture anchor assembly and methods
US5649963A (en) * 1994-11-10 1997-07-22 Innovasive Devices, Inc. Suture anchor assembly and methods
US5904697A (en) * 1995-02-24 1999-05-18 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5695504A (en) * 1995-02-24 1997-12-09 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5702215A (en) * 1995-06-05 1997-12-30 Li Medical Technologies, Inc. Retractable fixation device
US5849004A (en) * 1996-07-17 1998-12-15 Bramlet; Dale G. Surgical anchor
US5843087A (en) * 1997-01-30 1998-12-01 Ethicon, Inc. Suture anchor installation tool
US5922026A (en) 1997-05-01 1999-07-13 Origin Medsystems, Inc. Surgical method and prosthetic strip therefor
US6152937A (en) * 1998-11-06 2000-11-28 St. Jude Medical Cardiovascular Group, Inc. Medical graft connector and methods of making and installing same
CA2638625C (fr) 1999-12-03 2012-07-24 University Of Leeds Technique de fixation pour reparation osseuse
WO2005004727A1 (fr) 2003-07-11 2005-01-20 Endogun Medical Systems Ltd. Elements de fixation chirurgicaux et dispositifs de fixation chirurgicaux
DE602005013074D1 (de) * 2004-03-31 2009-04-16 Orthofix Srl Marknagel mit elementen aus formgedächtnismaterial
EP1848345B1 (fr) 2005-02-03 2019-09-04 Moshe Dudai Dispositifs d'introduction et de placement d'un filet
US20090281563A1 (en) 2006-04-19 2009-11-12 Newell Matthew B Devices, tools and methods for performing minimally invasive abdominal surgical procedures
JP5396389B2 (ja) 2007-08-16 2014-01-22 アイ．ビー．アイ イスラエル バイオメディカル イノベーションズ リミテッド 外科用ファスナ及び外科的固定のための装置
US8162978B2 (en) * 2008-03-25 2012-04-24 Linvatec Corporation Non-metallic knotless suture anchor
US8409252B2 (en) * 2008-03-25 2013-04-02 Linvatec Corporation Knotless suture anchor
US20100114126A1 (en) 2008-11-02 2010-05-06 Marc Neff Magnetic positioning of surgical mesh

Also Published As

Publication number Publication date
WO2011145091A1 (fr) 2011-11-24
US20130066339A1 (en) 2013-03-14
US8951268B2 (en) 2015-02-10
JP5755728B2 (ja) 2015-07-29
EP2571452A1 (fr) 2013-03-27
US20150245898A1 (en) 2015-09-03
JP2013526363A (ja) 2013-06-24

Similar Documents

Publication Publication Date Title
US10548590B2 (en) System and method for all-inside suture fixation for implant attachment and soft tissue repair
EP1855599B1 (fr) Systeme de fixation integralement interne d'un fil de suture pour la fixation d'un implant et la reparation de tissus mous
EP0646351B1 (fr) Applicateur pour la matière chirurgicale en feuille
US20150245898A1 (en) Surgical fastening device with mesh retaining means
MX2013015012A (es) Ensamble retractor de tejido.
IL188582A (en) Surgical clamps and fastening devices
US9549810B2 (en) Graft introducer
CN110461247A (zh) 微创组织缝合装置
US20140276962A1 (en) Extracting device for surgical fasteners
WO2015127013A1 (fr) Dispositifs d'hémostase
JP2014530664A (ja) スナップロックを有する外科用留め具およびそれを展開するデバイス
WO2010078185A1 (fr) Mécanisme de verrouillage de stylet pour dispositifs médicaux d'administration
US11406374B2 (en) Hernia repair device
WO2012170473A2 (fr) Procédé pour le traitement d'états de prolapsus d'organe pelvien
ES2551412T3 (es) Dispositivo de sujeción quirúrgico con medio de retención de malla
EP2391287B1 (fr) Outil laparoscopique de chirurgie laparoscopique
CN115460994A (zh) 组织修复系统
US20230329700A1 (en) System And Method For All-Inside Suture Fixation For Implant Attachment And Soft Tissue Repair
US9131936B2 (en) Anchor tip orientation device and method
IL191180A (en) Removal device for surgical staples

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

17P Request for examination filed

Effective date: 20121212

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

DAX Request for extension of the european patent (deleted)
17Q First examination report despatched

Effective date: 20140910

GRAP Despatch of communication of intention to grant a patent

Free format text: ORIGINAL CODE: EPIDOSNIGR1

INTG Intention to grant announced

Effective date: 20150429

GRAS Grant fee paid

Free format text: ORIGINAL CODE: EPIDOSNIGR3

GRAA (expected) grant

Free format text: ORIGINAL CODE: 0009210

AK Designated contracting states

Kind code of ref document: B1

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

REG Reference to a national code

Ref country code: GB

Ref legal event code: FG4D

REG Reference to a national code

Ref country code: AT

Ref legal event code: REF

Ref document number: 747478

Country of ref document: AT

Kind code of ref document: T

Effective date: 20150915

Ref country code: CH

Ref legal event code: EP

REG Reference to a national code

Ref country code: IE

Ref legal event code: FG4D

REG Reference to a national code

Ref country code: DE

Ref legal event code: R096

Ref document number: 602011019596

Country of ref document: DE

REG Reference to a national code

Ref country code: ES

Ref legal event code: FG2A

Ref document number: 2551412

Country of ref document: ES

Kind code of ref document: T3

Effective date: 20151118

REG Reference to a national code

Ref country code: NL

Ref legal event code: MP

Effective date: 20150909

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: NO

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20151209

Ref country code: GR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20151210

Ref country code: FI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: LT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: LV

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

REG Reference to a national code

Ref country code: LT

Ref legal event code: MG4D

REG Reference to a national code

Ref country code: AT

Ref legal event code: MK05

Ref document number: 747478

Country of ref document: AT

Kind code of ref document: T

Effective date: 20150909

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: HR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: SE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: RS

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: NL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: CZ

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: IS

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20160109

Ref country code: IT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: SK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: EE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: PL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: AT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: RO

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: PT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20160111

REG Reference to a national code

Ref country code: DE

Ref legal event code: R097

Ref document number: 602011019596

Country of ref document: DE

PLBE No opposition filed within time limit

Free format text: ORIGINAL CODE: 0009261

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: NO OPPOSITION FILED WITHIN TIME LIMIT

26N No opposition filed

Effective date: 20160610

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: BE

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20160531

Ref country code: DK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: SI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

REG Reference to a national code

Ref country code: DE

Ref legal event code: R119

Ref document number: 602011019596

Country of ref document: DE

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: BE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: LU

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20160517

REG Reference to a national code

Ref country code: CH

Ref legal event code: PL

GBPC Gb: european patent ceased through non-payment of renewal fee

Effective date: 20160517

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: LI

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20160531

Ref country code: CH

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20160531

REG Reference to a national code

Ref country code: IE

Ref legal event code: MM4A

REG Reference to a national code

Ref country code: FR

Ref legal event code: ST

Effective date: 20170131

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: DE

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20161201

Ref country code: FR

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20160531

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: IE

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20160517

Ref country code: GB

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20160517

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: ES

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20160518

Ref country code: CY

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: SM

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: HU

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT; INVALID AB INITIO

Effective date: 20110517

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: MK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: MC

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: TR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

Ref country code: MT

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20160531

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: BG

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: AL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150909

REG Reference to a national code

Ref country code: ES

Ref legal event code: FD2A

Effective date: 20181113